Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $1,258.93 / $4,365.16	Facility		$107.15	$1,258.93	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $165.96 / $354.81	Professional		$107.15	$165.96	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $338.84 / $512.86	Professional		$275.42	$338.84	$512.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $234.42 / $407.38	Facility		$151.36	$234.42	$407.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $309.03 / $1,318.26	Professional		$147.91	$309.03	$1,318.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $281.84 / $389.05	Professional		$269.15	$281.84	$389.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $354.81	Professional		$257.04	$257.04	$354.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $346.74	Professional		$186.21	$257.04	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $263.03 / $426.58	Professional		$147.91	$263.03	$426.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $281.84 / $416.87	Professional		$229.09	$281.84	$416.87